Ellen Marie Kaczmarek, MD | |
310 Long Shoals Rd, Suite 310, Arden, NC 28704-8794 | |
(828) 213-8235 | |
Not Available |
Full Name | Ellen Marie Kaczmarek |
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Gender | Female |
Speciality | Internal Medicine |
Location | 310 Long Shoals Rd, Arden, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619914231 | NPI | - | NPPES |
1619914231 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | 200201376 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 200201376 (North Carolina) | Primary |
Entity Name | Mission Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114150190 PECOS PAC ID: 0749326106 Enrollment ID: O20100313000054 |
Mailing Address | Practice Location Address |
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Ellen Marie Kaczmarek, MD Po Box 602373, Charlotte, NC 28260-2373 Ph: () - | Ellen Marie Kaczmarek, MD 310 Long Shoals Rd, Suite 310, Arden, NC 28704-8794 Ph: (828) 213-8235 |
Dr. Ronald Renord Caldwell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Skyland Inn Dr, Arden, NC 28704 Phone: 828-654-5001 | |
William T Belt Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 310 Long Shoals Rd Ste 310, Arden, NC 28704 Phone: 828-213-8235 | |
Lori C Bubb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Julian Ln, Suite 630, Arden, NC 28704 Phone: 828-651-0121 Fax: 828-651-0141 | |
Mrs. Jamie Muckom Anthony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2695 Hendersonville Rd Ste 200, Arden, NC 28704 Phone: 828-684-6035 Fax: 828-654-8152 | |
Ronald Earl Bush, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2561 Hendersonville Rd, Arden, NC 28704 Phone: 828-684-0011 Fax: 828-687-8986 | |
Dr. Charles S. Sawyer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 310 Long Shoals Rd, Suite 310, Arden, NC 28704 Phone: 828-213-8235 | |
Tania Clarice Diaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Long Shoals Rd Ste 310, Arden, NC 28704 Phone: 828-213-8235 |